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Avoid foods that cause rapid spikes in blood sugar, such as snacks filled with sugar, refined carbohydrates, or foods high in fat

Some patients take 10 to 20 milligrams per daylower than traditional weight-based dosingwith the goal of improving tolerability

Contraindications : People with heart disease, arrhythmias, uncontrolled high blood pressure, overactive thyroid, glaucoma, agitation, a history of substance use disorder, or recent MAOI use

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Finally, dehydration reduces skin elasticity and subcutaneous fluid volume, making tissue less cushioned for needle penetration